The negative effects of mental stress on human health has been known for decades. High-level stress must be detected at early stages to prevent these negative effects. After the emergence of wearable devices that could be part of our lives, researchers have started detecting extreme stress of individuals with them during daily routines. Initial experiments were performed in laboratory environments and recently a number of works took a step outside the laboratory environment to the real-life. We developed an automatic stress detection system using physiological signals obtained from unobtrusive smart wearable devices which can be carried during the daily life routines of individuals. This system has modality-specific artifact removal and feature extraction methods for real-life conditions. We further tested our system in a real-life setting with collected physiological data from 21 participants of an algorithmic programming contest for nine days. This event had lectures, contests as well as free time. By using heart activity, skin conductance and accelerometer signals, we successfully discriminated contest stress, relatively higher cognitive load (lecture) and relaxed time activities by using different machine learning methods.

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Stress is one of the most significant health problems in today's world. Existing work has used heart rate variability (HRV) to detect stress and provide biofeedback in order to regulate it. There has been a growing interest in using wearable biosensors to measure HRV. Each of these sensors acquires heart rate data using different technologies for various bodily locations, therefore posing a challenge for researchers to decide upon a particular device in a research experiment. Previous work has only compared different sensing devices against a gold standard in terms of data quality, thus overlooking qualitative analysis for the usability and acceptability of such devices. This paper introduces a mixed-methods approach to compare the data quality and user acceptance of the six most common wearable heart rate monitoring biosensors. We conducted a 70-minute data collection procedure to obtain HRV data from 32 participants followed by a 10-minute semi-structured interview on sensors' wearability and comfort, long-term use, aesthetics, and social acceptance. We performed quantitative analysis consisting of correlation and agreement analysis on the HRV data and thematic analysis on qualitative data obtained from interviews. Our results show that the electrocardiography (ECG) chest strap achieved the highest correlation and agreement levels in all sessions and had the lowest amount of artifacts, followed by the photoplethysmography (PPG) wristband, ECG sensor board kit and PPG smartwatch. In all three sessions, wrist-worn devices showed a lower amount of agreement and correlation with the reference device. Qualitative findings from interviews highlight that participants prefer wrist and arm-worn devices in terms of aesthetics, wearability, and comfort, followed by chest-worn devices. Moreover, participants mentioned that the latter are more likely to invite social judgment from others, and they would not want to wear it in public. Participants preferred the chest strap for short-term use and the wrist and arm-worn sensors over long-time.

Stress is an inescapable element of the modern age. Instances of untreated stress may lead to a reduction in the individual’s health, well-being and socio-economic situation. Stress management application development for wearable smart devices is a growing market. The use of wearable smart devices and biofeedback for individualized real-life stress reduction interventions has received less attention. By using our unobtrusive automatic stress detection system for use with consumer-grade smart bands, we first detected stress levels. When a high stress level is detected, our system suggests the most appropriate relaxation method by analyzing the physical activity-based contextual information. In more restricted contexts, physical activity is lower and mobile relaxation methods might be more appropriate, whereas in free contexts traditional methods might be useful. We further compared traditional and mobile relaxation methods by using our stress level detection system during an eight day EU project training event involving 15 early stage researchers (mean age 28; gender 9 Male, 6 Female). Participants’ daily stress levels were monitored and a range of traditional and mobile stress management techniques was applied. On day eight, participants were exposed to a ‘stressful’ event by being required to give an oral presentation. Insights about the success of both traditional and mobile relaxation methods by using the physiological signals and collected self-reports were provided.

Chronic stress leads to poor well-being, and it has effects on life quality and health. Society may have significant benefits from an automatic daily life stress detection system using unobtrusive wearable devices using physiological signals. However, the performance of these systems is not sufficiently accurate when they are used in unrestricted daily life compared to the systems tested in controlled real-life and laboratory conditions. To test our stress level detection system that preprocesses noisy physiological signals, extracts features, and applies machine learning classification techniques, we used a laboratory experiment and ecological momentary assessment based data collection with smartwatches in daily life. We investigated the effect of different labeling techniques and different training and test environments. In the laboratory environments, we had more controlled situations, and we could validate the perceived stress from self-reports. When machine learning models were trained in the laboratory instead of training them with the data coming from daily life, the accuracy of the system when tested in daily life improved significantly. The subjectivity effect coming from the self-reports in daily life could be eliminated. Our system obtained higher stress level detection accuracy results compared to most of the previous daily life studies.